• Articles

    Oral Agents in the Management of Type 2 Diabetes Mellitus

    BEATRIZ LUNA, MARK N. FEINGLOS

    The prevalence of type 2 diabetes mellitus in the United States continues to rise, along with the introduction of new therapeutic agents. This article reviews the oral agents available for management of this disease, options for monotherapy and combination therapy, efficacy...

    Evaluation and Treatment of Galactorrhea

    KRISTIN S. PEÑA, JO ANN ROSENFELD

    Most commonly, galactorrhea is idiopathic or caused by medications and prolactinomas. Treatment goals include decreasing or eliminating symptoms, curing any identified underlying cause, preventing bone loss, relieving the patient's anxiety and fears and, when desired,...

    Nasopharyngeal Cancer and the Southeast Asian Patient

    CHENG HER

    Because of a known increased incidence, nasopharyngeal cancer should be considered in patients from southern China or Southeast Asian countries who present with signs or symptoms of ear, nose and throat disease. Radiotherapy is often curative.

    Diagnosis and Treatment of Pulmonary Hypertension

    TRENTON D. NAUSER, STEVEN W. STITES

    Pulmonary hypertension may be a primary disorder or a complication of a pulmonary, cardiac or extrathoracic condition. Without treatment, right-sided heart failure occurs.

    The Child with ADHD: Using the AAP Clinical Practice Guideline

    CARLAT. HERRERIAS, JAMES M. PERRIN, MARTIN T. STEIN

    Recognizing the core symptoms and following the recommendations in the guideline established by the American Academy of Pediatrics can aid the family physician in diagnosing children with attention-deficit/hyperactivity disorder.

    Inside AFP

    A Farewell to Clayton Raker Hasser, VP and Group Publisher

    Janis Wright

    Clayton Raker Hasser is about to embark on a new path after her imminent retirement from a career in the medical publishing industry, which culminated in her role as vice president for publications and communications/group publisher for the AAFP. You might notice that this...

    Policy Center One-Pager

    The United States Relies on Family Physicians Unlike Any Other Specialty

    Designation of a county as a Primary Care Health Personnel Shortage Area (PCHPSA) depends on the number of primary care physicians practicing there. Without family physicians, an additional 1,332 of the United States' 3,082 urban and rural counties would qualify for...

    Quantum Sufficit

    Quantum Sufficit

    Sarah Morgan, Lori Parry

    Here's something you don't hear too often: Your house isn't dirty enough! According to the “cleanliness hypothesis,” asthma is on the rise in the United States and other rich countries because of overly protective parents who keep their houses too clean. That's right—dust,...

    Editorials

    Treatment of Type 2 Diabetes Mellitus: A Rational Approach Based on Its Pathophysiology

    CHARLES A. REASNER, RALPH A. DEFRONZO

    Type 2 diabetes (formerly known as non-insulin-dependent diabetes) results from progressive beta-cell failure superimposed on longstanding insulin resistance.1,2 The insulin resistance is associated with a cluster of metabolic abnormalities, including central obesity,...

    Finding Guidance Amid Uncertainty of ADHD Diagnosis

    AMER SHAKIL

    The idea of collaborative care has been captured in the saying “It takes a whole village to raise a child.” This is also true with families who are raising children with attention-deficit/hyperactivity disorder (ADHD). This message echoes throughout the new ADHD clinical...

    Where Family Physicians Dare

    DONALD E. PATHMAN

    Sometimes data are compelling. In this issue of American Family Physician, researchers at the AAFP's Robert Graham Center: Policy Studies in Family Practice and Primary Care demonstrate convincingly family physicians' unique role in promoting access to health care.1 In a...

    Medicine and Society

    Anticipating Molecular Medicine: Smooth Transition from Biomedical Science to Clinical Practice?

    NORBERT W. PAUL

    The past decades have seen a spectacular burgeoning of a new cognitive field—molecular genetics—beginning with Watson and Crick's1,2 description of the structure of DNA. However, translating new biomedical knowledge into clinical applications has been difficult. Effective...

    Gene Therapy: If At First You Don't Succeed…

    DAVID A. DEAN, R. ALLEN PERKIN

    ”Study Details Success of First Gene Therapy”

    Diary from a Week in Practice

    Diary from a Week in Practice

    Walter L. Larimore, John R. Hartman, Amaryllis Sanchez Wohlever, John T. Littell

    The value of a good history should never be underestimated. Today, a patient presented for an exacerbation of her asthma. ASW asked her how often she was using her albuterol (Ventolin) inhaler. She was surprised to hear that the patient wasn't using it at all. In fact, she...

    Photo Quiz

    A Midline Neck Nodule

    SYLVIA HSU

    Photo Quiz presents readers with a clinical challenge based on a photograph or other image.

    Family Practice International

    CLINICAL INFORMATION FROM THE INTERNATIONAL FAMILY MEDICINE LITERATURE

    ANNE D. WALLING

    (Great Britain—The Practitioner, October 2000, p. 884.) Although mortality rates are falling, the continuing rise in the incidence of breast cancer makes understanding the risk factors increasingly important. While the etiology of most types of breast cancer is multifactorial...

    Practice Guidelines

    NIH Statement on Adjuvant Therapy for Breast Cancer

    KAREN L. HELLEKSON

    The National Institutes of Health (NIH) has released a statement on adjuvant therapy for breast cancer. Adjuvant therapies administered after surgery eradicate deposits of cancer cells that may have spread from the primary cancer site, and such therapies increase a woman's...

    Clinical Briefs

    Clinical Briefs

    Monica Preboth

    Cardiovascular Benefits of Soy Protein | AAP Statement on Sexuality, Contraception and the Media | Surgical Alternatives to Hysterectomy | ISMP Self-Assessment Tool for Prevention of Pharmacy Medication Errors

    Curbside Consultation

    Failure to Thrive: Parental Neglect or Well-Meaning Ignorance?

    ROBERT NEEDLMAN

    A case scenario describing a six-month-old infant's weight loss. The physician commentary outlines the careful analysis required to reach an accurate diagnosis.

    Letters to the Editor

    Remedies for Prolonged Hiccups

    ANTHONY J. VIERA, STACEY A. SULLIVAN

    Assistance for Patients Who Cannot Afford Medications

    BRIAN S. ALPER

    Tips from Other Journals

    Hip Protectors Prevent Fractures in Elderly Persons

    JEFFREY T. KIRCHNER

    Lidocaine Spray During Outpatient Hysteroscopy

    ANNE D. WALLING

    Can Lipid Therapy with Statins Prevent Dementia?

    ANNE D. WALLING

    Intravenous Ketorolac vs. Morphine for Acute Pain

    ANNE D. WALLING

    Homocysteine May Not Be a Risk Factor for CAD

    RICHARD SADOVSKY

    ‘Fertile Window’ Is Unpredictable in Most Women

    ANNE D. WALLING

    Benefits of Etanercept Use for Rheumatoid Arthritis

    JEFFREY T. KIRCHNER

    Atraumatic vs. Standard Needles for Diagnostic Lumbar Puncture

    ANNE D. WALLING

    Clinical Index for Predicting Asthma in Wheezing Infants

    AMAR V. DUGGIRALA

    Folic Acid Antagonists and Risk of Birth Defects

    JEFFREY T. KIRCHNER

    Intravenous Magnesium Sulfate Is Effective in Pediatric Asthma

    JEFFREY T. KIRCHNER

    The Legal Myths and Realities of End-of-Life Care

    GRACE BROOKE HUFFMAN

    Oral Vitamin K Corrects Warfarin Coagulopathy

    ANNE D. WALLING

    A Final Look at Oral Zinc for the Common Cold?

    JEFFREY T. KIRCHNER

    LDL Cholesterol Levels: Is Lower Always Better?

    RICHARD SADOVSKY

    Intrathecal Methylprednisolone for Postherpetic Neuralgia

    JEFFREY T. KIRCHNER

    Information from Your Family Doctor

    Galactorrhea

    Sometimes a woman's breast makes milk even though she is not breast-feeding a baby. This is called galactorrhea (say: gal-act-tor-ee-ah). The milk may come from one or both breasts. It may leak with no stimulation or it may leak only when the breasts are touched.

    Treatment Options for Type 2 Diabetes—What's Available?

    Your body uses sugar (glucose) from food for fuel and energy. Insulin is a hormone made by your pancreas, one of the organs in your body. Insulin helps maintain your blood sugar level in the normal range (not too high or too low). Diabetes is a disease in which your body does...

    Nasopharyngeal Cancer

    Nasopharyngeal (say: nay-zo-fair-in-gee-al) cancer is a tumor that develops in the nasopharynx (say: nay-zo-fair-inks). The nasopharynx is the area where the back part of your nose opens into your upper throat. This is also where tubes from your ears open into your throat.

    Pulmonary Hypertension

    Pulmonary hypertension is a disorder of the blood vessels in the lungs. “Pulmonary” means “in the lungs,” and “hypertension” means “high blood pressure.”

    Learning About ADHD in Children

    ADHD, or attention-deficit/hyperactivity disorder, is a common health problem in children. Children with ADHD are hyperactive—they can't sit still. They are also impulsive and easily distracted. They have trouble coping at school and at home.



    Disclosure

    All editors in a position to control content for this activity, AFP journal, are required to disclose any relevant financial relationships. View disclosures.


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